Individual ProviderPaula Andrea Hernandez OrtizPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434(203) 265-3280PECOS EnrollmentBased on the most recent information from CMS, provider Paula Andrea Hernandez Ortiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1295341477Provider TypeIndividualFull NameHernandez Ortiz, Paula AndreaGenderFemaleSole ProprietorYesEnumeration Date9/22/2020Last Updated10/29/2020Contact InformationPractice LocationPractice Address863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434Phone(203) 265-3280Fax(203) 741-6569Mailing LocationMailing Address863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434Phone(203) 265-3280Fax(203) 741-6569Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12795Connecticut